How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $245.47 | Professional | None | $23.44 | $23.44 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $51.29 Typical High $53.70 | Facility | None | $41.69 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $33.11 Typical High $141.25 | Professional | None | $9.55 | $33.11 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $56.23 Typical High $74.13 | Facility | None | $48.98 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $33.11 Typical High $61.66 | Professional | None | $12.88 | $33.11 | $61.66 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $97.72 Typical High $151.36 | Facility | None | $17.38 | $97.72 | $151.36 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $239.88 | Facility | None | $15.49 | $19.50 | $239.88 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $64.57 | Professional | None | $11.75 | $19.50 | $64.57 |
Network Health Setting Facility Modifier None Typical Low $23.44 Median $30.20 Typical High $56.23 | Facility | None | $23.44 | $30.20 | $56.23 |
Network Health Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $54.95 | Professional | None | $14.79 | $19.95 | $54.95 |
Prevea360 Setting Facility Modifier None Typical Low $15.49 Median $17.78 Typical High $25.12 | Facility | None | $15.49 | $17.78 | $25.12 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $46.77 Typical High $81.28 | Professional | None | $21.88 | $46.77 | $81.28 |
Quartz Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $51.29 | Professional | None | $9.33 | $12.88 | $51.29 |
Security Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $41.69 | Professional | None | $19.95 | $19.95 | $41.69 |
Security Health Setting Professional Modifier None Typical Low $19.95 Median $72.44 Typical High $138.04 | Professional | None | $19.95 | $72.44 | $138.04 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $74.13 | Professional | None | $9.77 | $16.22 | $74.13 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $123.03 | Professional | 52 · Reduced service | $11.75 | $11.75 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $48.98 | Professional | 53 · Discontinued | $4.68 | $4.68 | $48.98 |
Where Wisconsin sits
The same service costs 4.4 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 9th of 51
$28.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.